Strum is blunt. He does get angry at the poor decisions many doctors make in diagnosing and treatments and always gives backup for his reasoning. I find this refreshing as most other doctors would never think of critizing another doctor. If he didn't give backup for his recommendations he wouldn't be nearly as effective.
Just reading the posts on this board and other sites and from my own expereince the standard of care for prostate cancer is pathetic; way too many misdiagonosis, too many reoccurrances and too many permanent side affects, too many tests that are not of any value and the tests that are of value rarely recommended.
I for one am glad someone is clearly saying "The emperor has no cloths".
If Strum just mouthed off without doing anything it would be a different story, but he has been on the forefront of providing patient education for 30 years, founding the PCRI dedicated to patient education, and devoting his time to change things.
You may not like the way he delivers the message, but ignore the message at your own risk.
open to all forms of treatments and is quick to jump on new ideas that seem to work, such as Combidex, MRIS, ADT3 and other drugs.
His main point is that most doctors do not nearly do enough investigation to properly determine the biology of an individual's pc before recommending a treatment and do not properly monitor a patient while on medications to see if those medications are really doing what they were designed to do and is quick to point this out.
Mel, If the patients on P2P, were treated properly initially by their doctors they would have no need to post anything. Almost all of the p2p patients are in failed treatments that haven't worked and many for good reason. I haven't seen him critize anything that was done properly in which the patient was thrilled with his treatment.
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.