I didn't say you were wrong, it's just an unsettling thought, that we can't trust our medical community because they are basically only in it for the money. I guess it's not a real encouraging idea, or cheery as I said.
I think another reason behind a lot of what we hear from our doctors aside from the thought that they are just trying to pick our pockets, is that for the most part it is what we want to hear. How many people really, really want to hear the unvarnished truth ? We all want to hear a little optimism from our doctor. It gives us a little optimism. In most cases, he could say, well Mr. Goodlife, it doesn't look very good. Based your biopsy, and the most relistic, or conservative stats I can find in the internet, you had better get your personal affairs in order. Oh my sir, you had an EPE, and your Gleason is very aggressive. Does not look good at all. Well, I could do surgery, but that may cause total impotence ( unless you care to stick your Willie with a needle ), and most likely you will have wet pants the rest of your life. Of course, diapers can make it better.
Or, we could subject you to radiation, which may burn your rectum, cause bladder neck scarring, and you may have to be on catheters for many months, maybe even have a urine bag the rest of your life.
Or, if those options don't sound too good, you could be chemically castrated, so you can grow breasts, not want to have any sex, and still most likely die from bone cancer or some other painful malady.
Or, he could say Mr. Goodlife, you have a chance of a complete cure. Yes, there may be a few side effects, but we have ways to cope with all of them. Of you look at this nomogram, you have a statistical 90 % chance of a 5 year non reoccurence. Do you and Mrs. Goodlife have any question ? Ok, lets' get started.
Really, which approach would give us the courage to have done what we have had done ? I say the optimism, the chance that we have of a cure, or another 10 or 15 years of life, is what keeps us going. Even if it is only 20 %, that is worth more to us than any anti-depressants, or other things that we may do to keep on going. How many people will buy a Powerball ticket tomorrow with a 1 in 200,000,000 chance of hitting it rich.
I'll take optimism anyday, thank you.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01