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 www.yananow.net/pathreport.htm
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)