<<<Too many doctors use a patient's intense anxiety about
a new cancer diagnosis to rush him into surgery, radiation, or whatever the doctor specializes in. I've experienced it myself and I have seen it too often with other men I know. Very few men can stand up after being diagnosed with cancer and say, "No, stop, I want to think about
this." What is going on is reprehensible.>>>>
In my experience outside the USA and in Europe, I was hit from day one with advice about
taking my time, choices of treatments or nothing at all, second and third opinions, etc. Everyone from GP to operating surgeon wanted me to hear their spiel on this. I finally began to cut them off and tell them what I wanted without more discussion. I was never remotely given a "hard" sell. If a PCA patient cannot recognize a used car salesman in a white coat, then he needs a keeper.
<<<<<As Dr. Otis Brawley has eloquently written (not that I expect anyone on this board to care what he thinks), it is comparatively easy to get funding to study ways to make a better robot or to start yet another program to encourage more men to get tested but next to impossible to get funding to explore which prostate cancer tumors are truly dangerous and which are not. Why? Because if we knew that, many medical centers couldn't pay for their expensive equipment and urologists' and radiologists' incomes would fall dramatically to pre-PSA testing levels.>>>>
This is simply paranoia at its best. Dr. Brawley may have his sour grapes if he isn't great at getting funding, but I do not believe for a minute that there is a conspiracy between doctors, hospitals, or anyone else to line their pockets with healthcare dollars obtained through such means. Some of you folks need to talk with your feet when such horse feathers start to fly.
70 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0. Doubled from 3.5 to 7.0 in one year.
Neg. CT and Bone Scan
4 of 8 biopsies positive (all right side) Gleason Score 3+4=7
Robotic assisted total prostatectomy and node excision July 2009 in Luzern, Switzerland by Dr. A. Mattei in the Kantonsspital. New Gleason was 4+4=8
pT2c G3 pN0 (0/14 nodes +, Margins, etc. clear
Catheter out in 5 days (home in 3 days). No incontinence
Positional neurpraxia in hip and knee resolved 90+% in 5 months.
Potency: beginning tumescence??? at 3 weeks post-op. Still happens at 3 months PO. Nearly usable one month later. At 5 mo. with 100 mg Vitamin V, pretty good. Now beginning 5 mg Cialis daily.
3month PSA less than 0.01, 6 month PSA less than 0.01
Post Edited (brainsurgeon) : 3/12/2010 2:34:25 AM (GMT-7)