Posted 2/14/2012 7:17 PM (GMT -6)
i think what is going on for you with your doctor, is exactly right for you. folks need to understand, especially when you are facing our situations (and some others here), there is no exact recipie for what to do. your doctor has adjusted his overall opinion based on the facts of your case, as a specific patient. that is a good thing. my doctor is doing the same thing with me. my doctor will absolutely reccomend future treatment, whether it be HT or Chemo, when he feels the time is right. It's all about the timing with him, and the condition of the patient. Some guys would freak a 1.x, others 5.x, etc. He has stressed to me from day one, that the number is not the important part, and that many men talk themselves into treatments prematurely - based on some particular number. I am not saying anyone is wrong or right, again, case by case. I have dealt with fast PSA velocity from even before I was ever dx with PC, so having fast moving numbers have been the norm for me.
When I see my guy again, in April, based on the next PSA number, we will re-evaluate my personal situation, and if action is called for, then so be it. If he thinks is still safe for me to hold off, then I am all for that. I trust his judgement based on his experience with difficult cases. Sounds like you have a pretty good trust factor with your doctor too, and I think that is very important.
One size definitely doesnt fit all, for sure. And as I have often repeated here, and for those that have researched on their own, even the experts do not agree at all - about when to implement HT or other treatments once a patients enters the beginning stages of advanced PC.
I will be watching your plan as it goes into action, hoping of course, you get the slow down and results that you need
david in sc
Age: 59, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, original catheters 63 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81, 6/11 5.8, 12/11 14.0
Other: Spent total of 1 ½ years on 21 catheters, had Ileal Conduit Surgery 9/10
Member of Prostate Cancer & Chronic Pain HW Communities