med, i think you made it clear, just want to be sure there is no johnt vs. david thing going on. I consider JohnT well versed, and a good asset here.
but i think you make a good point, unless i am reading too much into it. your "car" analogy is dead on right to me. in reality, i really drive a ford, because its what i can afford, and it gets me from A to B without issues, but my heart will always be for Lamborghini. Can't afford to rent one for the weekend, let along own one. lol.
many men here are just like me, i went through my PC journey totally unemployed, my dx, came a month after my lay off notice. my former boss paid my cobra payments out of the goodness of his heart, so that i could get my operation, until my wife's insurance had an open enrollment period, where they had to pick me up with out any pre-exisiting conditions limitations. i was very very fortunate.
i think the advice of advanced testing methodolgies, 2nd and 3rd opinions from reknowned undisputed experts is great, in a perfect world. but not all of us have the time, resources, and perhaps logistics to make things happen like that. its not so much local doctors vs. other experts in other areas, its working with what you have to work with. i hate how almost everything in life comes down to money, but its a rule that's hard to beat.
speaking only as an american, i feel fortunate that we live somewhere where we have the level of health care that we do have access to. of course there are bad doctors, but i still believe they are the extreme minority.
some of our pc journey is just "circumstances", circumstances unique to our individual bodies, its make up, perhaps even down to the genetic level of things, including family history, etc.
no need to mention names, but we have brothers here, that had the best of the best work on them, at the best of the best faciliities, yet they were still faced with problems and almost instant recurrance, such is the nature of cancer in general. PC in particular doesnt follow the rules or common sense logic most of the time.
for most of us, we do the best we can, with what we have. just how life is sometimes. i have no regrets in that department.
though everytime i see or hear a real lamborghini, still makes that flutter in my heart, and double checking my powerball ticket, lol.
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, 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, 4/8 .04, next one: July
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- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, 5/24 put in Cath #17