John, I certainly wasn't even thinking of your with my post. I consider you well learned on the subject of PC, and your own unique journey led you through a lot of doctors. I could name names, but that would be flaming, but we have at least 2-3 here on a regular basis that try to plant the seed of doubt with doctors and urologists in general, and they seem to target newcomers here. I think that does a terrible dis-service to someone seeking help and support.
People need to find doctors they can trust, and then they need to ask questions, lots of questions, and then be compliant with their doctors. Nothing worse than a know-it-all patient, that goes to doctors, then never listens to their advice.
I am not comfortable of any urologist that has a direct or in-direct interest in radiology centers, fully agree with you, its the old conflict of interest things in simplest of terms.
Second opinions should be encouraged, no argument there. I don't think my course of action would have been changed with my situation, but if I were re-doing my PC journey, I would have like to at least had my initial slides looked at by some higher level source, as my suspicion tells me that it was worse then first reported, not better. Just guessing in hindsight.
David in SC
P.S. I have been through some serious medical matters since age 28, without much break between them, and along the way, I have had a lot of deep caring, brilliant doctors that saved my axx, and for that I am thankful.
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 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10