I was with Kaiser for a while, and I felt well served. They practice "evidence based medicine". They will do what the data shows to be generally effective, and they will spend more heavily than regular insurance on preventive care since that works and is cheap. They will not be very supportive if you want to treat more aggressively than what the general recommendations say is warranted. So if you are of the persuasion which says "I want to try anything regardless of long odds and possible severe side effects" then you might not be satisfied. But if you are of the persuasion that says "I want to be treated according to what the current science says is best" then I think you will be happy. Certainly at your early stage in the process I don't think you have anything to worry about
. If you have something particularly severe or rare or complicated it might become an issue, but it isn't now.
One thing to keep in mind is that you have had a quite rapid increase in PSA on a fairly low base, nearly double in a year. There is a lot of controversy on the issue of PSA Velocity, as it's known, with some evidence that it points to a less favorable prognosis and other evidence that it doesn't really matter once other factors such as pathology report are taken into consideration. Regardless, since your PSA is moving quickly, don't waste time. Go see the urologist as soon as you can schedule it. Definitely don't wait another year. You probably have a biopsy in your near future, unless your next PSA test shows a marked decline in PSA. If the urologist opts not to biopsy please come back here and post the rationale and people here can give you additional feedback at that point.
Post Edited (proscapt) : 3/30/2011 12:18:49 PM (GMT-6)