I don't think the comment by GOP was unfair, but rather in need of clarification and it falls a bit short on some of the realities in prostate cancer. I hate using anecdotal account to justify a position in treatment options because I can find flaws with every treatment option out there anecdotally. And there are very bad cases that exist in each option. Instead of agenda's we need to look at the genuine concerns raised. There CAN be issues with surgery such as Chris's case and being aware that we are always physically functioning best BEFORE we have therapy for this disease. I would clarify using the experience of being an advanced member here. For example:
-Brachytherapy is a great way to deal with localized prostate cancer but not every patient is best suited for it.
-Surgery has it's issues well documented and because many patients have been over treated with it the loss of QoL should be measured against the benefits.
-Techniques in every radiation and surgical options, as well as others, are constantly under scrutiny and being modified. Why? Because they need refinement. Why do they need refinement? Because there are issues that exist and there are no perfect treatment options.
-Are certain doctors better than others at procedures for prostate cancer ~ absolutely. But then again does even the best handed doctors have cases that have not been up to standards, or that defy explanation? Yes, and I'd be concerned if they don't acknowledge it. Even the top guys have bad results due to procedural or physiological issues.
-Are we asking the right questions? I know many ask how many procedures a physician has done, but do you ever ask "will you be the one doing my case? Are you instructing others and supervising the procedure? I know most would shy away from being any physicians first patient but all doctors started somewhere and many started well. How about
this quest ~ Whom did you train with for the procedure you are doing?
In my book cases with poor results are not rare enough to be satisfied with treatment choices available today. I've been to AUA and ASTRO meetings. The building is lined with leading edge, cutting edge, and unfortunately bleeding edge technology from the various manufacturers.
Ultimately we try to hunt for the best doctor, using the best technology in the best facility, but our decisions may come down to faith and hope.
And there are still no guarantees to avoiding that anecdotal case that just boggles the mind...
Anecdotally, I have been through a myriad of therapies and I have faired well. I had good doctors at good facilities and good results. There's plenty of reason to hope for increased results like mine. Retrospective views however won't present the results one can expect with any therapy over the short term or the long term.
Post Edited (TC-LasVegas) : 4/25/2013 2:32:34 PM (GMT-6)