Nevada biopsy problem...what is the truth?

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lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 677
   Posted 3/23/2011 6:39 PM (GMT -6)   

logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 5829
   Posted 3/23/2011 7:37 PM (GMT -6)   
This is so incredible, that I am almost but not quite speechless. Do I hear horses in the sky? Yikes!!!
Diagnosed 8/14/09 psa 8.1 66,now 67
2cores 70%, rest 6-7 < 5%
gleason 3+ 3, up to 3+4 @ the dub
RPP U of Wash, Bruce Dalkin,
pathology 4+3, tertiary5, 2 foci
extensive pni, prostate confined,27 nodes removed -, svi - margins -
99%continent@ cath removal. 1% incont@gaspass,sneeze,cough 18 mos, squirt @ running. psa std test reported on paper as 0.0 as of 12/14/10 ed improving

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 3/23/2011 8:04 PM (GMT -6)   
I have a little commentary to add...

I am somewhat in the middle of this with many of this doctors patients turning to the support group I lead. There is mostly support for the doctor in question but there is also disappointment. Dr. Kaplan did indeed help start our group with my predecessor. He also has a reputation as one of the hardest working urologists in Las Vegas. One quote from someone close was "his work is his life". His past history with malpractice suits is countered by the fact that he may have seen more patients in Las Vegas since 1990 by a large amount than any other urologist.

I mentioned to the agreement of the doctors in attendance of our meeting last Thursday, that if a doctor has no malpractice history, he probably has not seen enough patients.

Still, this is not an easily forgivable offense even if it happened the way the ad posted today said it did. There are no winners here and it certainly is necessary to find out where this went wrong. If it was miscommunication it is still not acceptable. There were 101 notices sent out by the health board to patients that could be affected. Dr. Kaplan says it's more like 33. The odds of infection are very small and there has not been one case reported of a blood borne illness as a result.

For my part, I run a support group. It is important that our group try to support these patients and stay out of the legal happenings. I am deeply dismayed that this could have happened, but I am also realistic that because Las Vegas was in the national headlines when a doctor Depak Desai reused syringes on thousands of patients, there is added focus on this case locally.

Ugh. It's a mess. Dr. Kaplan is not happy, the patients are not happy, and Dr. Kaplan's associate has had his practice scrubbed by the FDA, Health boards, and the legal system. One thing for which I am certain, if the cost of these guides is 10 bucks, and there are 101 total patients affect ~ I feel quite certain that Dr. Kaplan would not jeopardize a life long effort for a thousand bucks. It just does not make any sense.

Tony
Advanced Prostate Cancer at age 44 (I am 48 now)
pT3b,N0,Mx (original PSA was 19.8) EPE, PM, SVI. Gleason 4+3=7

Treatments:
Da Vinci Surgery ~ 2/16/2007
Adjuvant Radiation Therapy ~ IMRT Completed 8/07
Adjuvant Hormone Therapy ~ 28 months on Casodex and Lupron.
Undetectable PSA.

Blog: www.caringbridge.org/visit/tonycrispino

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3748
   Posted 3/23/2011 9:49 PM (GMT -6)   
Everybody is condemning this man but was anyone harmed by his actions?? I'm not trying to justify his actions (if true) but how can there be a crime if there is no victim?

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 3/24/2011 3:27 AM (GMT -6)   
We'll probably know in a few weeks just how many peoples lives have taken a turn for the worse.

tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 3/24/2011 7:00 AM (GMT -6)   
it took me a while to understand exactly what occurred - it was needle "guides" - plastic/external use - not the actual needle itself that was reused.

Here is a link for pix of the item(s)
www.google.ca/images?hl=en&rlz=1G1GGLQ_ENCA375&q=needle+guide&um=1&ie=UTF-8&source=univ&sa=X&ei=Rz2LTYa8FZHUgAe-1PmmCw&ved=0CHcQsAQ&biw=1422&bih=688

in my personal opinion - due to the nature of HIV, the chance of sero-conversion would be negligible since the virus dies so quickly once outside of the body - the only concern I would have would be the possibility of access to external blood sources since hepatitis A and C can live for a long time on devices like the plastic guide - once outside of the original host body...

- when in doubt - autoclave properly or throw out

hermetically sealed hugs,
BRONSON
Age: 55 - gay with spouse of 14 years, Steve
location: Peterborough, Ontario, Canada
PSA: 10/06/09 - 3.86
Biopsy: 10/16/09- 6 of 12 cancerous samples, Gleason 7 (4+3)
Radical Prostatectomy: 11/18/09
Pathology: pT3a -Gleason 7 -extraprostatic extension -perineural invasion -prostate weight -34.1 gm
PSA: 04/08/10 -0.05 -Zero Club
PSA: 09/23/10 -0.05 -Zero Club
PSA: 03/24/11 - TBA
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