I think what makes me believe that you were taking shots at surgery is that fact that you have been against surgery since you joined us. A good hearted attempt at humor would have been to ask similar questions of radiologists or hematologists, etc. But you targeted the one area of treating prostate cancer that you didn't choose for yourself.
That stated, I know that you are a good man. I apologize for taking exception, but I think it was appropriate to point it out that these questions can be viewed as biased in tone. Just so that it is known, I have been treated by hematologists, radiologists, and a surgeon. So I will ask a few more questions below...
Is your radiologist willing to tell you how success is determined?
Is your radiologist going to send you for a complete physical examination prior to beginning any treatment? Surgeons have to by law clear you for surgery, radiologists do not have the same requirements.
Is your radiologist willing to tell you that the best and most definitive biopsy report is the post operative pathology report?
Does your radiologist mention that your cancer might be worse than what the biopsy indicated and his treatment may need to be supplemented? Does he have such a plan?
Is your radiologist willing to tell you that defining relapse can be delayed up to three years or more because the ASTRO standard (Nadir+2) of defining relapse is not as definitive as the surgical is?
Is your radiologist willing to tell you that in high risk cases he combines therapies with hormone therapy and compares his success rates with monotherapies alone (I believe to skew his statistics to make you believe that his option is better)?
Is your radiologist willing to be honest with you that while rare it is possible that his therapy can have WORSE side effects than surgery?
Is your radiologists willing to tell you if such rare cases happen that bladders or rectums are damaged it's possible there can't be a surgical repair?
Is your radiologists smart enough to tell you that he is NOT the most qualified person to deliver hormone therapy, but he'll be glad to do it anyway?
Hematologists (Prostate Oncologists)
Is your hematologist willing to tell you that his treatment can be more deadly than prostate cancer?
Is your hematologist willing to tell you that you should include a cardiologist in your cancer team?
Is you hematologist willing to tell you about
alternatives to hormone therapy?
Is you hematologists willing to tell you how to avoid the side effects of his recommendations?
Cryotherapists (typically radiologist)
All the questions in radiology apply plus...
Is your cryo guy willing to tell you he lacks any long term data on his therapy?
Is your cryo guy willing to tell you about
HIFU (again typically a radiologist)
All the questions of radiogy and cryo apply plus...
Is you HIFU guy willing to tell you why he wants you to pay cash up front before treatment?
Advanced Prostate Cancer at age 44 (I am 47 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7
LARP ~ 2/17/2007 at the City of Hope near Los Angeles.
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
"I beat up this disease and took its lunch money! I am in remission."
I am currently not being treated, but I do have regular oncology visits.
I am the president of an UsTOO chapter in Las Vegas
Blog : www.caringbridge.org/visit/tonycrispino
Post Edited (TC-LasVegas) : 5/22/2010 3:16:33 PM (GMT-6)