On my last visit to Ford, I was disappointed that the regular doctor I usually see (on Dr. Menon's Team) is no longer there. He moved to Miami!
Anyway, I was not impressed with the new guy I saw. Very young, in training, and just didn't seem that knowledgeable.
Anyway, when talking about the possibility of SRT, he kept calling it adjuvent radiation and I kept correcting him.
He said that if I start radiation before the official BCR (ie; before it gets to 0.2 and confirmed by a subsequent PSA as per AUA guidelines), then it is considered ART. Now, I realize it doesn't really matter what we call it, but I thought ART is when we start radiation immediately and don't wait for a reoccurrence. In other words, the INTENT is the determining factor. I also thought that ART by definition is done within a year of surgery.
Again, I'm not sure and neither was this doctor.
So, can anyone shed light on the technical definition of adjuvent radiation?
Incidentally, tomorrow is my first anniversary of my surgery. Why do I not feel like celebrating?
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. 9/21/10--0.06; 1/4/11-0.13 CRAP!