Kaiser? Don't know if this is something that can b asked?

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eye4thelinks
New Member


Date Joined Feb 2011
Total Posts : 10
   Posted 3/16/2011 5:20 PM (GMT -6)   
My PSA last year was 3.4 2/10, this year 3/11 it is 6.0. My Kaiser pysician recommended I see a uroligist and I requested another PSA test to include the Free PSA which I will have done 3/18/11.  Has anyone had any experience with Kaiser and their practices?  The reason I ask, is that they seem like a organization that is so structured they may not offer everything that would be available.  Does this make any sense?

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 3/17/2011 5:28 AM (GMT -6)   
Yes...makes alot of sense,  not uncommon as what some facilities decide are your protocols in testings, offerings, discussions and more. 

Post Edited (zufus) : 3/17/2011 5:29:27 AM (GMT-6)


jc8808
New Member


Date Joined Feb 2011
Total Posts : 2
   Posted 3/18/2011 6:15 AM (GMT -6)   

Hello,

 

I had a RRP done on 2/21/2011 at Keiser Permanente, West Los Angeles.

So far I am quite satisfied with their services and how everything turned out.

Discuss any concerns with your primary care doctor and your urologist.

They will listen to you.

 

Good luck,

Jay

 


RCS
Veteran Member


Date Joined Dec 2009
Total Posts : 1268
   Posted 3/18/2011 7:36 AM (GMT -6)   
I was treated by Kaiser in Denver Colorado, and I had been with Kaiser for many years. I was very pleased with my care over the years (including treatment for a Pulmonary Embolism).
 
Concerning PCa treatment, with Kaiser my choices were AS, Brachy, or DaVinci, or open surgery.  I chose DaVinci (04/20/09).  I've been pleased with the results and follow up care.  Dr. Green did the surgery.  No other treatments were discussed (i.e. Cyberknife, cryo, etc.). 
 
In January of this year I left Kaiser after more than 20 years, because I wanted to see non-Kaiser specialists concerning other medical concerns. 
 
Hope this helps ... best wishes and good luck.

oojimmyc
New Member


Date Joined Mar 2011
Total Posts : 5
   Posted 3/30/2011 10:15 AM (GMT -6)   
Hi,
I also have had KP for 18 years +. When I was diagnosed with PC in '09 Kaiser treated me with the utmost care and respect. I also had Dr. Green perform the DaVinci on me. Still dealing with the ED issues but I think that's just me. My Wife swears by KP since they did her Aortic Valve Replacement 11 years ago. I'm also retired USAF and Tricare picked up the loose change.
 
RCS: Any ED issues after Dr. Green? Feel free to call me 303-981-46 three one or oojimmyc at aol.com
Thanks,
Jim

Post Edited (oojimmyc) : 3/30/2011 9:21:08 AM (GMT-6)


proscapt
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Date Joined Aug 2010
Total Posts : 644
   Posted 3/30/2011 11:30 AM (GMT -6)   
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)


eye4thelinks
New Member


Date Joined Feb 2011
Total Posts : 10
   Posted 3/30/2011 12:08 PM (GMT -6)   
Thanks for all of the great replies, this is such a great place.  My second PSA within a month lowered from 6.0 to 5.1 but because it is still elevated, I'm scheduled for a biopsy on 4/12/11.  It seems that everything I've read that an elevated PSA is not a good sign of things to come.  I guess I need an attitude adjustment.  Thanks for all of the help.

oojimmyc
New Member


Date Joined Mar 2011
Total Posts : 5
   Posted 3/30/2011 12:19 PM (GMT -6)   
Heads up on the biopsy....It hurts! smhair just grin and bare it...it's worth the pain

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3887
   Posted 3/30/2011 1:09 PM (GMT -6)   
Done right, they don't hurt at all, just uncomfortable..The big aftershock comes the first time you ejaculate after the procedure..
Age 68.
PSA age 55: 3.5, DRE normal.
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 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0
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