The Urologist - Oncologist changeover point is unique to PC victims..When to say goodbye to the urologist and transfer treatment protocol to the medical oncologist can be disrupting..These guys can have big egos, they both want your business and they compete against each other to a certain extent but they will never admit it..
My surgeon / urologist called me today and talked for 20 minutes(!) He was concerned about my recovery from the surgery and resulting staph infection / abscess which is finally a thing of the past. We discussed much of what this thread has been discussing and he will indeed start me off on ADT, (Firmagon, the latest ADT drug..) but he added: "When you feel you are dealing with too many doctors and appointments, I should be the one you drop as your medical oncologist can take over from here.."
You don't get that kind of candor very often.. The HT is being done at the insistence of my R-doc who feels it's a very important part of my over-all treatment plan...
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT, Dec