Tud, I try to portray that neutrality with an
open mind and heart. For any of the new brothers that come through our doors, I think its real important to be treatment neutral on our ends. Especially since it seems like lately, the bulk of the new guys have lower grade, Gleason 6 cases. For all of us that have been through the wringer with surgery and salvage radiation, I only wished I had been fortunate enough to have had real choices. Of course, there are those, whereby surgery is the best first hope without question.
It's hard to change the mentality of the 'I have to get it out of me immediately' line of thinking. A person would have to come to an understanding, that even with an agressive cancer indicated out of a biopsy, there is still plenty of time to go through the due diligence process of going through all the options, gathering professional opinions, and weighing it all out. It makes me feel a little sad for the guys that get the PC dx, and have a full treatment plan sceduled in a week or less. I realize that some may have done their due dillergence prior to their dx. Kind of my situation, as I had 3 biopsies spread over 18 months, and spent a lot of time reading/researching on the assumption that I would eventually be dx.
I may get shot for this one, but I still feel inside that some of the robotic "selling points" are being oversold. I know the hospitals have to drum up biz for the cost of the machines, but just doing a non-scientific review of our robotic guys, I am still not convinced they have any advantage in side effects or quality of life issues. And I have noticed that a lot of the new guys, still don't see or understand that robotic or
open, it is a major complex surgery. Of course, less invasive with the actual operation with robotics, but still a very complicated surgery, and a whole lot can go wrong.
You ,and JohnT, and the other few that are on your seed path to me play an important role here, to give good working examples of how seeding with and without RT can be a good treatment. I am pleased on HW that we have at least you guys being in a position of giving an alternative to surgery.
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, no problem post SRT
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 same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29