Added example on controversies in PCa~posted by Radiologist~Objective~also has PCa~link and snipet

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Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 9/16/2010 3:47 PM (GMT -6)   
Since we are in the midst of a storm of controversies and discussions from A.S./W.W. to Gleason scoring issues, etc.  This is posted by a Radiologist at  
Found it maybe TMI as to being an objective guy, whom also has PCa to confront and his own choice he is considering is really interesting, too.  Here is part of the discussion he eludes to (go to link and read it all is best)
Variations in physician "trained observer" opinions exist and will always exist. Each physician possesses a background of training, experience, and knowledge that is unique to that physician. Each physician is looking at your medical test, not with their eyes, but with their mind. What the physician sees in that diagnostic images is different that what other physicians see, and also different than what that same physician will see 6 months to a year later, because of 6 months of additional experience, knowledge, etc. We look with our minds, not with our eyes.

Add to the above differences (i.e. training, experience etc) additional differences in values and philosophies plus differences relating to previous and current malpractice suits, current financial needs, etc. One radiologist may look at an image and say this is life threatening and must come out immediately, the other will say not to worry, a third will say I am not certain and therefore it is up to the patient.
I suggest you read the whole thing, it has more shock content than this even. Gives you another perspective on this and from a medical guy who is more of an insider than us.  Interesting discussion it may rock your world, (maybe no for being calmly), but don't we want to know as much as we can?  My guess he probably is not a loon  (LOL). His last words on the link/post is
Good Luck with Your Journey!!!   (that is an understatement after reading this thing)
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35 normal, ct and bone scans appearing clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off for 1 yr., controlled so well, resumed, using intermittently, pleased with results

Post Edited (zufus) : 9/16/2010 3:01:42 PM (GMT-6)

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Date Joined Jan 2010
Total Posts : 7085
   Posted 9/16/2010 3:55 PM (GMT -6)   
Very good article.
Reminded me of my bone scan. The Radiologist let me look at the images after I asked for an "off the record" glance at them, pointed out hotspots, asked about old fractures, seemed to think it was a great scan, then said the same sort of thing - the doctor who reads it may see it differently. In the end they agreed.

Post Edited (142) : 9/16/2010 2:59:26 PM (GMT-6)

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 9/16/2010 4:01 PM (GMT -6)   
Excellent post. Read every word, read the piece 3 times in a row. That was telling it like it is. Good find.

That what concerns me, when some here, think that if you go to the best doctor and the best hopital or treatment center, with all the right bells and whistles attached, its going to give you great results. Like the man said, it varies patient by patient. I think he was speaking the truth, but a truth that some don't want to hear.

Good eye, Zufus
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 ?
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, on Catheter #21, will be having Ileal Conduit Surgery in Sept.

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 9/16/2010 4:38 PM (GMT -6)   
Nicely written.

His incite is in diagnostic radiology versus radiation oncology. He is an image reader versus a cancer treater. But his perspective is very interesting. He is still sticking with a radiological solution (Cryotherapy is almost always done by a radiation oncologist) and that too will be interesting to follow. I wish him the very best...

Thanks for the post zufus.

Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

RALP ~ 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

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