Wonder how true these numbers are used by PCa lawyer in this article(radiations)~V.A. Hosp.

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zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/27/2010 12:13 PM (GMT -6)   
I know this is also their self promoting that they are a law firm out there for malpractice cases of various types. I can remove this or you can if you believe it is inappropriate for the forum.
Read the claim made about V.A. hospitals in particular that are doing some radiations of patients, 'if' that claim they stated is anywhere near accurate, that is very sad and makes V.A. especially look like the wrong place to get radiations as a generality and would not apply to all cases, then it makes you wonder about how update and maintained is other hospitals on their equipment. We probably do know as patients whom look around at this from many angles, that their are things going on that are not passing the smell test and other senses we use to perceive the reality of this whole PCa theatre.
Anapol Schwartz is pe

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4229
   Posted 2/27/2010 1:10 PM (GMT -6)   
Zufus,
This claim is acurrate. It happened in the Philly VA center where one doctor botched a number of seed implants then covered them up with false reports. What he did was much more than malpractice; it was criminal and he should be prosecuted.
Having dealt with the VA for 40 years I have my own observations. VA doctors in general are not the best. Care is OK if it for minor things like checkups and minor ailments. They are very good at physical rehab and prosthetics. Unless the VA is affilated with a local teaching Hospital and the doctors you get are from that hospital, stay away from having any major treatments done at the VA,
JohnT

64 years old.

PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.

2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.

Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.

Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.

25 treatments of IMRT 6 weeks after seed implants. No side affects at all.

PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.

JohnT


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/27/2010 2:29 PM (GMT -6)   
You have to feel for those in the V.A. as their only source, maybe giving the patients a big heads up might be of some usefulness. Maybe the next V.A. patient for brachy or external radiations will have some big questions to get answered. To bad our vets whom should be held in higher esteem than any politician, get the short end of the stick. You see what the values are in our system...I cannot be proud of unrighteousness.
Youth is wasted on the Young-(W.C. Fields)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/27/2010 3:08 PM (GMT -6)   
In my long term experience with the VA, hospital and doctor care varies so much, area by area, state by state. In my area, the VA hospital in Columbia SC has such a terrible reputation, the kind of place you wouldn't take a wounded animal to. But in lesser distance, the VA hospital in Asheville NC has a excellent reputation.

I pity anyone that had to deal with that VA bunch in Philly. I actually spent some time there when I got out of the service, and it wasn't good back then. That doctor in question should have hard prison time for what he did.

David 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


compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 2/27/2010 4:38 PM (GMT -6)   

I guess doctors in the bottom tenth of their class have to practice somewhere. Now we know where.

 

Mel


63 years old . PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (Free PSA 24%),  after 45 days on cipro! DREs have always been normal. PCA-3

Biopsy on 11/30/09. 5 out of 12 cores positive. Gleason 4+3. 2 cores were 3+3 (one 5% and the other 30%) on one side. On  other side:2 cores are 4+3 (5%)--1 core 3+4 (30%) no peri-neural invasion. prostate is 45 grams. Stage: T1C.  

Surgery with Dr. Menon at Ford Hospital, 1/26/10. He says all looked good. Spared nerves. Unfortunately: Pathology Report: G 4+3 (65%-35%). Cancer in 15% of gland. Lymph Nodes: Clear.  Perineural Invasion: yes. Seminal Vessical Involvement: No.  Extraprostatic Extension: yes.  Positive Margin: Yes-- focal-- 1 spot .5mm. Final Weight is 52.7 gms. 

 Incontinence: joined that club-- definite leaks—1 pad/day. Night is dry, was  using 1 pad at night for security, but pretty much dispensed with that most nights. Update: no pads at night. No pads while at home, but still very uncomfortable. Use 1 pad for out-of-house activities.

Next Event: First post-op PSA on 3/2/10


Aprilsunny
New Member


Date Joined Jan 2010
Total Posts : 15
   Posted 2/27/2010 6:47 PM (GMT -6)   
Just an FYI - the doctor in the Philadelphia VA brachytherapy case was an "outside contractor" from the University of Pennsylvania School of Medicine. NY Times story is here.

Regards, AprilS
Brief History (Husband)

Age - 60

4th of 5 brothers. Brother 3 died at 65 of PCa, brother 2 is five-year survivor of PCa, (brother 1 died at 61 of heart attack). So far brother 5 is okay.

PSA - October 2009 - 6.4
Biopsy - November 17, 2009 - Gleason 4+3=7 DRE Normal Stage T1C
open RP - January 14, 2010
Catheter removed Feb. 1, 2010 - Minimal incontinence
Oral pathology report - contained in prostate, no EPE, no seminal vesicle involvement, no positive margins N0MX Gleason 7 "No further treatment necessary", says surgeon. Time will tell.
First post-op PSA - early March


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/28/2010 5:11 AM (GMT -6)   
Aprilsunny- excellent link and tells those stories in detail for those whom wish to read what happened in more totality. This is the kind of thing that can happen with a doc whom is not well experienced in whatever treatment they are doing or learning. A real heads up on why you need very experieced doctors doing thess invasive and complicated proceedures, least the patient get results that are ridiculous and life long misery and complications that shouldn't even be present.

This is more rare, but it goes on as some docs learn a new technique for whatever their motivations are.
Youth is wasted on the Young-(W.C. Fields)

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