Urologist in michigan

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brb0923
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Date Joined Jan 2009
Total Posts : 32
   Posted 3/31/2011 6:52 AM (GMT -6)   
 
My urololgist was recommend by my primary doctor, i have no history with him and don't really know his skill set.   He was ok for monitoring and biopsy's but It's now time for treatment.
Anyone have a recommendation or know a place i can find data on a well experienced surgeon in southeast michigan?
 
thanks,
Barney
 
Age 59, very healthy
Psa 2007 3.2
Psa fall 2008 4.9 two weeks later 4.4
11/2008 biopsy, T1c, gleason 3+3=6 low-volume prostrate carcinoma
1 of 12 samples malignant
Left lateral mid .05mm (5%)
CT scan negative
Consultation 12/2008 decided active waiting (diet) while researching options.
Followup PSA in March 2009


3/2009 3.5
7/2009 3.2
11/2009 4.2
5/2010 4.0
9/2010 3.9

Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 3/31/2011 7:25 AM (GMT -6)   
Henry Ford Hospital. Dr. Menon. He is extremely well known and many will tell you to go no further.  But, U of Mich. Med Center - Dr. David Wood  is very good as well.
http://www.henryfordhealth.org/body.cfm?id=47772

brb0923
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 3/31/2011 7:32 AM (GMT -6)   
Thanks Paul

brb0923
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 3/31/2011 7:43 AM (GMT -6)   
Thanks paul,
I looked them up and requested a consult, do you have any personal experience with these docs?

Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4157
   Posted 3/31/2011 8:37 AM (GMT -6)   
brb, Mel (Compiler) was treated by Dr. Menon and I expect he will weigh in on this thread.
 
Also, please don't forget to consult an experienced radiation oncologist as well.  You should make sure you have taken a good look at all of your options for treatment before settling on one.
 
Tudpock (Jim)
Age 62 (64 now), G 3 + 4 = 7, T1C, PSA 4.2, 2/16 cancerous, 27cc. Brachytherapy 12/9/08. 73 Iodine-125 seeds. Procedure went great, catheter out before I went home, only minor discomfort. Everything continues to function normally as of 12/8/10. PSA: 6 mo 1.4, 1 yr. 1.0, 2 yr. .8. My docs are "delighted"! My journey:
http://www.healingwell.com/community/default.aspx?f=35&m=1305643&g=1305643#m1305643

brb0923
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 3/31/2011 10:57 AM (GMT -6)   
Ok Thanks Jim,

Anybody know a good experienced radiation oncologist in Michigan?
Age 61, very healthy
Psa 2007 3.2
Psa fall 2008 4.9 two weeks later 4.4
11/2008 biopsy, T1c, gleason 3+3=6 low-volume prostrate carcinoma
1 of 12 samples malignant
Left lateral mid .05mm (5%)
CT scan negative, decided on active waiting
3/2011psa 5.6 biopsy, gleason 3+4=7
Now seeking treatment

brb0923
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 3/31/2011 11:22 AM (GMT -6)   
Jim read your Journey, thanks for sharing your encouraging message. Of course i would prefer the least invasive , least life changing remedy. If all else is equal it makes sense. Talked to a relative of mine today who had seeds 10 years ago (before it was cool!) and he has no issues . So i'm seriously checking all options.

So anybody know a good experienced radiation oncologist in Michigan?

Thank you,
Barney
Age 61, very healthy
Psa 2007 3.2
Psa fall 2008 4.9 two weeks later 4.4
11/2008 biopsy, T1c, gleason 3+3=6 low-volume prostrate carcinoma
1 of 12 samples malignant
Left lateral mid .05mm (5%)
CT scan negative, decided on active waiting
3/2011psa 5.6 biopsy, gleason 3+4=7
Now seeking treatment

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 3/31/2011 3:26 PM (GMT -6)   
Dr. Maha Hussein is a well known oncologist at UMich. She is highly regarded and really is able to look at prostate caner objectively.

I would highly recommend her and UMich.

Goodlife
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 3/31/2011 5:46 PM (GMT -6)   
David Wood is Paul's uro. We shooting for a group discount!
 Hilarem datorum diligit Deus

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 3/31/2011 6:00 PM (GMT -6)   
BRBL:
 
I did a lot of research when I was dx. I narrowed it down to David Wood and Dr. Menon. I also consulted with Dr. Hussein later on.
 
I had a day-long appointment at the Umich Comprehensive Cancer Center where I met with Dr. Woods and then Dr. Heemstra (a radiation guy). The next day I met with Dr. Menon and his team at Ford. My wife went with me. We liked Wood. He seemed very confident. But he also seemed a tad distant. He gave us all the time we needed to answer questions. His answers were pointed and succinct. But in between our questions, there was silence.
 
We liked Menon and his team much better.
 
Bottom line: I would have been confident with either one.
 
Menon did my surgery. Unfortunately, my pathology really sucked, but that's not his fault as far as I can tell. The surgery was technically very well done and I had a very quick, full recovery (except for ED).
 
Also, at Ford Hospital you can rent an apartment 500 feet from the entrance. It was $65 per day but they had a grant that paid $500 towards it, so we stayed there for a week until my catheter was removed. Oh, and they use a s-p catheter which is MUCH better than a Foley catheter.
 
If you have more questions, I'd be glad to answer either here or via email
 
Mel
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- yes.. PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. 9/21/10--0.06; 1/4/11-0.13,3/1/11--0.27

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3763
   Posted 3/31/2011 6:13 PM (GMT -6)   
Dr Martinez in the Detroit area is a pioneer in the HDR brachytherapy. This is the version that does not leave the seeds in you. More accurate and less reduced side effects. I had it performed in Atlanta.

For great details check www.cetmc.com, Dr Jeffrey Demanes the pioneer in HDR (started in 1981). He runs the center at UCLA. His website is great with all the details and comparissoon to surgery and permanent seeds.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard shot and daily Jalyn started on 10-7-2010.
IMRT to prostate and lymph nodes 25 fractions started on 11-8-2010, HDR Brachytherapy 12-6 and 13-2010.
PSA <.1 and T 23 on 2-3-2011.

brb0923
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 4/1/2011 8:00 AM (GMT -6)   
Thanks to you all , a great help.

I registered with Vattikuti Urology Institute
yesterday and already got an email reply from them and henry ford hospital with general pc info and their credentials. Very impressive 5000 robotic surgeries.

setting up a consult

Also consulting with Martinez's staff at Royal Oak Beaumont.
Age 61, very healthy
Psa 2007 3.2
Psa fall 2008 4.9 two weeks later 4.4
11/2008 biopsy, T1c, gleason 3+3=6 low-volume prostrate carcinoma
1 of 12 samples malignant
Left lateral mid .05mm (5%)
CT scan negative, decided on active waiting
3/2011psa 5.6 biopsy, gleason 3+4=7
Now seeking treatment

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 4/1/2011 12:25 PM (GMT -6)   
Good luck.
 
I'll be interested in reading about your impressions of Dr. Wood and Dr. Menon
 
Mel

brb0923
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 4/4/2011 10:53 AM (GMT -6)   
Thanks guys,
With HDR brachytherapy did you have follow up external radiation?

It was mentioned by the urologist
Age 61, very healthy
Psa 2007 3.2
Psa fall 2008 4.9 two weeks later 4.4
11/2008 biopsy, T1c, gleason 3+3=6 low-volume prostrate carcinoma
1 of 12 samples malignant
Left lateral mid .05mm (5%)
CT scan negative, decided on active waiting
3/2011psa 5.6 biopsy, gleason 3+4=7
Now seeking treatment

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3763
   Posted 4/4/2011 2:14 PM (GMT -6)   
I had HDR, IMRT and ADT3. But my stats are much worse than yours.

Both Martinez in Michigan and Demanes at UCLA (and my radio-onc in Atlanta) use HDR monotherapy in some cases.

On Demanes website www.cetmc.com he shows a 2005 ASTRO conference presentation showing his 8 year monotherapy survival rate of 96%.

He lists the following as being a good candidate for monotherapy: stage T1c or T2a, G6, and PSA <10. n My rad-onc follows this, and is also guided by the biopsy and the urologist DRE to decide. You look like you fit.

Dr. Alvaro Martinez is in Royal Oak and practices at Beaumont Hospital. Check him out, you are blessed to be so close to a great prostate cancer rad-onc.
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard shot and daily Jalyn started on 10-7-2010.
IMRT to prostate and lymph nodes 25 fractions started on 11-8-2010, HDR Brachytherapy 12-6 and 13-2010.
PSA <.1 and T 23 on 2-3-2011.

davidg
Veteran Member


Date Joined Feb 2011
Total Posts : 4093
   Posted 4/4/2011 2:43 PM (GMT -6)   
You definitely cannot go wrong with Dr. Menon.

Concerned4You
Regular Member


Date Joined Dec 2010
Total Posts : 94
   Posted 4/8/2011 12:21 PM (GMT -6)   
We are with Dr. Siddiqi, Saint Joseph Mercy Hospital. Dr. Hugh Solomon is one of the best in the area but very booked up. We love Dr. Siddiqi @ St. Joe's.
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